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MINNESOTA WELLCARE LLC
NPI 1801548748
Nurse Practitioner - Psychiatric/Mental Health in Lakeville, MN

Active since January 21, 2022
10519 165TH ST W, LAKEVILLE, MN 55044(952) 248-2719 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Minnesota Wellcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA WELLCARE LLC (NPI 1801548748) is a healthcare organization registered as a psychiatric/mental health in Lakeville, Minnesota and active in the NPI registry since January 2022. The organization lists Katie Kocina, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801548748
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINNESOTA WELLCARE LLC
Location Address10519 165TH ST WLakeville, MN 55044-5722
Mailing Address10519 165th St WLakeville, MN 55044-5722 · (952) 248-2719
Phone(952) 248-2719
Organization SubpartNo
Authorized OfficialKatie KocinaExecutive Director · (952) 248-2719
Enumeration DateJanuary 21, 2022
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1801548748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
10519 165TH ST W, Lakeville, MN 55044
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Wellcare LLC's NPI number?

The NPI number for Minnesota Wellcare LLC is 1801548748. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Minnesota Wellcare LLC located?

Minnesota Wellcare LLC is located at 10519 165th St W, Lakeville, MN 55044. The listed phone number is (952) 248-2719.

What is Minnesota Wellcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Minnesota Wellcare LLC was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.